Buccolam

Buccolam contains midazolam, a fast-acting benzodiazepine. It is designed for buccal administration (given into the side of the mouth, between the gums and the cheek) to stop ongoing convulsive seizures quickly without requiring intravenous access.

Dosage by Body Weight

Buccolam is prescribed in pre-filled, color-coded oral syringes corresponding to age-specific doses. It must only be used by parents or caregivers where the patient has been diagnosed with epilepsy. Administer a single dose slowly into the buccal cavity. Seek immediate medical assistance if the seizure does not stop within 5 to 10 minutes of administration.

  1. Body Weight
    Below 5 kg
    Dose
    Not recommended
    Frequency
    Use only if prescribed
    Tracking Notes
    Safety and efficacy in infants under 3 months (typically under 5 kg) have not been established. Use only under direct clinical supervision.
  2. Body Weight
    5-7 kg
    Dose
    2.5 mg
    Frequency
    Single dose
    Tracking Notes
    Corresponds to the typical dose for infants aged 3 to 6 months. To be used under medical supervision in a hospital setting.
  3. Body Weight
    8-10 kg
    Dose
    2.5 mg
    Frequency
    Single dose
    Tracking Notes
    Corresponds to the typical dose for infants aged 6 months to 1 year.
  4. Body Weight
    11-15 kg
    Dose
    5 mg
    Frequency
    Single dose
    Tracking Notes
    Corresponds to the typical dose for children aged 1 year to less than 5 years.
  5. Body Weight
    16-20 kg
    Dose
    7.5 mg
    Frequency
    Single dose
    Tracking Notes
    Corresponds to the typical dose for children aged 5 years to less than 10 years (weight can vary; dose is primarily based on age).

Formulation

Oromucosal solution

Purpose

Treatment of prolonged, acute, convulsive seizures in infants, toddlers, children, and adolescents (from 3 months to less than 18 years of age).

Generic Name

Midazolam

Scheduled Drug

Yes. This medicine should be supplied or used only according to applicable prescription and regulatory requirements.

Alternatives

Disclaimer: This information is for educational purposes only. WHO references and weight bands are simplified for tracking and must not replace medical advice. Always consult with a healthcare professional before starting or changing any medication.